Risk Adjustment for EDS and RAPS User Group - May 17, 2018


Risk Adjustment for EDS and RAPS User Group - May 17, 2018

Table of Contents

  • Slide 11 - Submission Deadlines, Risk score calculation, Deadline for submitting risk adjustment data
  • Slide 16 - Submission Deadlines, RAPS deletions PY 2015
  • Slides 22-24 - Chart Review Record Submissions, Diagnosis codes, Submission guidance for default HCPCS codes
  • Slides 26-28 - Chart Review Record Submissions, Record Types, Linked and unlinked CRRs
  • Slides 29-31 - Chart Review Record Submissions, Overview, Submission guidance including void and replacement
  • Slide 36 - MOR, Encounter Data Population, The encounter data-based MOR will report any HCCs in the encounter data-based score
  • Slide 37 - Chart Review Record Submissions, Records of service, CRR should not be the only record with information about provided services
  • Slide 39 - Chart Review Record Submissions, Primary diagnosis codes, Restriction against e-codes as primary applies to linked CRRs

Last Updated: 05/18/2018